Lead Medical Records Collector

Molina Healthcare • Houston, TX • 18h ago

JOB DESCRIPTION Job Summary

Provides lead level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

Outreaches to providers via phone call, fax, mail, electronic medical record system (EMR) retrieval, and direct on-site pick up for collection of medical records.

Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application.

Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff.

Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application.

Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation.

Provides mentorship and leadership to team members and represents as lead on process and project improvement initiatives.

Participates in and prepares feedback for meetings with vendors related to the medical record collection process.

Some medical records collection related travel may be required.

Required Qualifications

At least 4 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience.

Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.

Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge.

Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).

Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA).

Proficiency with data analysis tools (e.g., Excel).

Excellent customer service and active listening skills.

Previous project coordination and/or process improvement experience.

Ability to effectively interface with staff, clinicians, and leadership.

Strong prioritization skills and detail orientation.

Strong verbal and written communication skills, including professional phone etiquette.

Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications - Registered Health Information Technician (RHIT). - Healthcare Effectiveness Data Information Set (HEDIS) data collection experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $21.65 - $38.37 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Similar Jobs

Licensed Vocational Nurse I/II/III-Family Medicine- Kelsey Seybold Clinic: Downtown at the Shops

Optum • Houston, TX • 1h ago

Hospital & Medical Sponsored

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houst...

1h ago

Go to Apply

Internal Medicine Physician

Medical Resources Network • Bellaire, TX • 1h ago

Hospital & Medical Sponsored

Internal Medicine physician job in Texas : IMMEDIATE OPENING FOR A BC/BE INTERNAL MEDICINE PHYSICIAN LOCATED IN BEAUTIFUL BELLAIRE, TEXAS AREA - JOIN US NOW!!!! Outpatient opportunity with minimal telephone call for a BC...

1h ago

Go to Apply

Med-Ped Physician

Medical Resources Network • Bellaire, TX • 1h ago

Hospital & Medical Sponsored

Med-Ped physician job in Texas : IMMEDIATE OPENING FOR A BC/BE MED/PEDS PHYSICIAN LOCATED IN BEAUTIFUL BELLAIRE, TEXAS AREA - JOIN US NOW!!!! Outpatient opportunity with minimal telephone call for a BC/BE Med/Peds Physic...

1h ago

Go to Apply

Travelling Physician

Medical Resources Network • Bellaire, TX • 1h ago

Hospital & Medical Sponsored

1h ago

Go to Apply

Internal Medicine Physician

Defense Health Agency • Houston, TX • 1h ago

Hospital & Medical Sponsored

Internal Medicine physician job in Texas : - Serve as an Internal Medicine Physician in a Patient Centered Medical Home (PCMH); scope includes a broad spectrum of health services for adults ranging from preventative medi...

1h ago

Go to Apply

Critical Care Physician

Med Staff Matters, LLC • Houston, TX • 1h ago

Hospital & Medical Sponsored

Critical Care physician job in Texas : CVICU opening with a group ofCritical Care providers basedin the desirable area ofnorthern Houston. The unit size is 22 beds. The group covers a total of22beds (combined CV and Neur...

1h ago

Go to Apply

CNA, Certified Nursing Assistant - PRN

CHRISTUS Health • Houston, TX • 1h ago

Hospital & Medical Sponsored

Description Summary: The Certified Nurse Assistant (CNA) is responsible for performing routine service duties and procedures necessary for the care, comfort, and safety of the Sisters; including performing skills to meet...

1h ago

Go to Apply

CNA - Nursing Relief

CHRISTUS Health • Houston, TX • 1h ago

Hospital & Medical Sponsored

1h ago

Go to Apply

ObGyn Physician

Med Staff Matters, LLC • Houston, TX • 1h ago

Hospital & Medical Sponsored

ObGyn physician job in Texas : Associate ObGyn opportunity in a single specialty group practice. Join a current group of five Physicians and two NPs along with MA and LPNs. Located in the very desirable west Houston subu...

1h ago

Go to Apply

DOCTOR MEDICAL RESIDENT

Med Staff Matters, LLC • Houston, TX • 1h ago

Hospital & Medical Sponsored

Internal Medicine physician job in Texas : Family Medicine & Internal Medicine Outpatient | Houston, TX A leading Houston hospital system is seeking Family Medicine and Internal Medicine physicians for multiple outpa...

1h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.